KANECAL Customer Fax / Mail Order Form
(Print form then fax or mail your order)

Name: (Ship to):                                                         Name;(Bill to):

Shipping Address:                                                     Billing Address;

City, State, Zip                                                           City, State, Zip

Phone Number: (day)(_____)                                              (evening)(_____)

e-mail:                                                                       Special Instructions;

Item #	Description.	Price Each	Qty	Total Amount

*  Shipping Charges	sub total:	$
$8.95 Std. UPS Mail	Shipping Charges * (Obtain from cart)	$
$13.95 3-Day UPS	7.75% tax ( Physical shipment in California)	$
$29.90 UPS RED	Order Total Enclosed/Approved to charge	$
* International and Canadian orders must call for shipping charges. To receive a download link for software enter $0.00 for shipping and check here [_}. Shipping prices for 1-3 lb. items. Larger items may be downgraded to meet cost.

METHOD OF PAYMENT: (Please Check One)

[_] Visa*      [_] Mastercard*      [_] American Express*      [_] Check      [_] Money Order     [_] Purchase Order

ACCOUNT/Card #_________________________________________EXP. DATE_____/_____*CVV2_________

*CVV2 is the 3 digit number on back of your card to the right of your signature.
(Some Amer.Expr. cards only have a 4 digit CVV2 on the front- above and to the right of the CC #)
Make sure that the BILLING address above is the address that you receive your credit card statements or the order will not be approved

Signature as it appears on card:_________________________________________________________

FAX YOUR credit card/Purchase Order to: 951-685-4135 (you can fax your order 24 / 7 !)